Meter Swap � � ��
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Fridley
Request Number: 17375
Pub�ic Works Division
Service Request
PraWem Att�eaa: 1657 68th A� Requested By: Teresa or Samautha
Department: WATEI� Address: No address provided
ProWem/Issue: INSTALL AMR METER Phone Nnmber: 571-0010
Scheduled Date: 201�-12-OS Schednled 1lme: 12:00:00
AClION NEEDED:Go to 1 bS2 69th A�to get key.
Creat�d by: Wendy Hiatt Dnte Crented: 2017-12-04
;- ACIION TAI�N:
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St�ttns: In Progress �bmitter Hss Been r
Contacted
Date Completed: �_�-�7 Completed by: �Q�'�
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City of Fridley ,S� "�' tJ � 6 �
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the C�ty of Fridiey andjor its employees to do what is necessary to
replace the water meter, i understand that xhe property owner is liabte for the water line from the main to the premise and all iMerior
plumbing. (Per C'�ty code 402.06� I also hold the City of Fridley and/its employees harmiess for ariy damages that may occur wfiile dang this
operation. This to inciude,but not limited to valves,piping,walls,floors or the curb stop boz and service fine. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAI METER READING(old meter) �c.i �
Name•
�i��°'��- Address �l O �/� v/'� ' '" �-
Phone Number � l�/ ���l v Date �(�� � � ��
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Signawre Witness Signature
OLD METER# �� ����L�� SIZE & STYLE(Circle)
OLD READING ll��tY V� [ � 5j8" HEX
NEW METER# � ` �� t v l f 1" HEX
NEW READING v 134" ELIPTICAL or HEX
ERT# / �� t v��v 2" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 4+02.WATER,STORM WATER AND SANITARY 5EWER
ADMINISTRATION
(Ref Ord No 113,464,565,56�5,629,638,662,922,988,11A4,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water af sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contradar shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shal)be not�ed. k shall be untawful to tover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAiRS AND MA{IVTENATICE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer tead at the property line or a water service lead has
been extended to the property li�e for connection,the applicant,owner,or occupant or user of such premises shall be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs aF the maintenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative poficy. It shail be the responsibitity of the appficant,
owner,occupant or user to perform standard maintenanae of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service turb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191}